Individual provider Active NPI

Efraim Kessous, MD

  • Family Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1699983858
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0070798 Issued in MD
Practice address
800 S Frederick Ave
Suite 110
Gaithersburg, MD 20877-4150
Phone
(301) 208-2273
Fax
(240) 252-4222
NPI assigned
May 20, 2007
Last updated
May 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD040210 DC
Family Medicine Physician 207Q00000X D0070798 MD Primary

Addresses

Primary practice location

800 S Frederick Ave
Suite 110
Gaithersburg, MD 20877-4150

Mailing address

800 S Frederick Ave
Suite 110
Gaithersburg, MD 20877-4150
Phone (301) 208-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121130000231 DC Practitioner - Family Practice 8426180589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kessous and Kessous MD PCGroup PAC ID 8426367384, 4 clinicians

Practice addresses (Care Compare)

800 S Frederick Ave
Suite 110
Gaithersburg, MD 20877-4151
Phone (301) 208-2273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: efrain.kessous.1@15259.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1699983858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S FREDERICK AVE",
            "address_2": "SUITE 110",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774150",
            "telephone_number": "301-208-2273",
            "fax_number": "240-252-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S FREDERICK AVE",
            "address_2": "SUITE 110",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774150",
            "telephone_number": "301-208-2273",
            "fax_number": "240-252-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSOUS",
        "first_name": "EFRAIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD040210",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0070798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.